PRIYA VARGAS
Subscriber on policy B08M000385
Claims
3
Attributed to this person
Charged
1,322.00
Total submitted
Denied
689.00
2 denied claims
Patient responsibility
308.75
Reported on the 835
Patient responsibility is the amount reported on the 835 as assigned to the patient — deductible, coinsurance or copay. It is not proof that the provider billed the member, that the member owes it, or that it was collected, and it is kept separate from denied amounts throughout.
Who this is
| Field | Value |
|---|---|
| Name | PRIYA VARGAS |
| Role on the policy | Subscriber |
| Policy | B08M000385 |
| Date of birth | 20 Apr 1954 |
| Plan | GOLD PPO |
| Covered from | 9 Jul 2024 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 96 · Other | 1 | 308.75 |
| Total | 308.75 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0001760 | 14 Mar 2026 | 475.00 | MERIDIAN HEALTH PLAN | CARC 96 · NON_COVERED | 0.00 |
| CLM0001762 | 28 Jul 2025 | 158.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0001761 | 31 May 2025 | 689.00 | MERIDIAN HEALTH PLAN | CARC 27 · ELIGIBILITY | 689.00 |